Pharmacist – Population Health

Job Title: Pharmacist - Population Health

Location: Dover DE 19901

Job Type: Full-Time

Schedule: Monday-Friday 8:00 AM-4:30 PM or 8:30 AM-5:00 PM

Job Summary

The Population Health Pharmacist will provide clinical pharmacy support to Medicare and Commercial health plans. The role focuses on improving patient health outcomes medication quality STAR/HEDIS performance and reducing unnecessary pharmacy costs.

The Pharmacist will work closely with healthcare providers and patients to identify medication-related issues provide education perform Medication Therapy Management (MTM) and develop strategies to improve overall patient health.

Key Responsibilities

• Analyze pharmacy reports and EMR data to identify opportunities to improve patient outcomes.
• Support STAR and HEDIS quality measures related to medication use.
• Work with providers to improve medication management and reduce pharmacy costs.
• Assess patients with specific medical conditions and identify barriers to care.
• Provide patient education self-management support medication counseling and MTM services.
• Recommend appropriate screenings and evidence-based treatment strategies.
• Develop personalized health improvement plans and follow up with patients.
• Collaborate with healthcare providers on clinical quality improvement initiatives.
• Maintain a 5-STAR rating of 90% or higher for assigned members.
• Participate in committees meetings audits and quality improvement programs.
• Develop and maintain pharmacy policies and procedures in accordance with state and federal requirements.
• Educate providers and health plan members about annual formulary changes.
• Identify patients at risk for avoidable hospital admissions or readmissions and provide appropriate interventions.
• Document patient interventions and evaluate program outcomes.
• Serve as a subject matter expert on pharmacy-related clinical measures for value-based care programs.
• Perform other duties as assigned.

Required Qualifications

• Bachelors degree in Pharmacy.
• Active Pharmacist license.

BPS Board Certification in a specialty such as:

• Pharmacotherapy.
• Ambulatory Care.
• Cardiology.
• Geriatrics.
• Related specialty.
• 1 year of hospital clinical pharmacist experience OR completion of an ASHP-accredited PGY-1 residency.
• Successful completion of required credentialing if applicable.

Preferred Qualifications

• Doctor of Pharmacy (PharmD).
• Board Certification with clinical pharmacy experience.
• BPS Certification in Pharmacotherapy or another relevant specialty.
• Advanced degree such as MPH or MBA.
• 2 years of hospital clinical pharmacist experience.
• Alternatively completion of an ASHP-accredited PGY-2 Ambulatory Care residency.

Ideal Candidate

• The ideal candidate is a licensed board-certified pharmacist with clinical pharmacy experience and knowledge of population health STAR/HEDIS measures MTM EMR data medication management provider collaboration and value-based care.

Required Skills:

Pharmaceutical Industry